Health and disability pension--an intersection of disease, psychosocial stress and gender. Long term follow up of persons with impairment of the locomotor system.
OBJECTIVE
To evaluate the outcome after 1, 2, 3 and 10 years of rehabilitation conducted by the Swedish Social Insurance Office, in relation to socioeconomic, psychosocial and gender aspects.


METHODS
A retro and prospective study of 372 individuals rehabilitated by the National Swedish Insurance Office 1993-1994. Diagnosis, socio demographic data, Sense of Coherence and Perceived Health were compared with register data in terms of sickness benefit and disability pension up to 10 years.


RESULTS
At the 10 year follow up 52% of the men and 57% of the women were granted any kind of DP. 82% of the men with low PH and women with a PM or a low PH had any kind of benefit 10 year after rehabilitation started. High age and low PH increases the risk of a full DP after 3 as well as 10 years for both men and women. At the 3 year follow up however, low education was also important for a full DP for men and having a Psychosocial Marker for women. The factors civil status and kind of profession did not significantly relate to a full DP after 10 year.


CONCLUSIONS
In different ways factors as age, education, psychosocial stress, Sense of Coherence and Perceived Health mediate the rehabilitation process in significant ways by affecting the manifestation of the disease itself and/or via the context in which the rehabilitation takes place, in combination with individual factors that acts over a long time. Age and Perceived Health seems to be the most important factors of them all.
Kaiser
Per-Olof
PO
Department of Primary Health Care, University of Göteborg, Sweden. po@pomedic.se
Mattsson
Bengt
B
Marklund
Staffan
S
Wimo
Anders
A
D000328:Adult; D006233:Persons with Disabilities / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000534:rehabilitation*; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000209:etiology*; D013548:Sweden; D014942:Workers' Compensation